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Heat and Cold Stress <br /> Heat Stress <br /> One or more of the following control measures will be used to <br /> help control stress : <br /> • Provision for adequate liquids to replace lost body <br /> fluids will be made. Replacement fluids can be a 0 . 1 <br /> percent salt water solution, commercial mixes such as <br /> Gatorade® or Quick Kick®, or a combination of these <br /> ' with fresh water. <br /> • Establishment of a work regimen that will provide <br /> adequate rest periods for cooling down. <br /> • All breaks are to be taken in a cool area. <br /> 1 Employees shall be informed of the importance of <br /> adequate rest, acclimation, and proper diet in the <br /> prevention of heat stress . <br /> During periods of intense activity, the site Field Supervisor <br /> will observe the workers for symptoms of heat stress, especially <br /> in areas where protective clothing is being worn. Symptoms may <br /> include fatigue; irritability; headache; faintness; weak, rapid <br /> pulse; shallow breathing; cold, clammy skin; profuse <br /> perspiration. Heat related problems are presented below: <br /> • Heat Rash - This is caused by continual exposure to <br /> heat and humid air, and aggravated by chaffing <br /> clothes. Heat rash decreases a person' s ability to <br /> tolerate heat as well as becoming an irritating <br /> nuisance. <br /> • Heat Cramps - This is caused by profuse perspiration <br /> with inadequate water intake and chemical electrolyte <br /> imbalance. This results in muscle spasm and pain in <br /> the extremities and abdomen. <br /> • Heat Exhaustion - Increased stress on various organs <br /> to meet increasing demands to cool the body will <br /> result in signs and symptoms including shallow <br /> ' breathing; pale, cool, moist skin; profuse sweating; <br /> dizziness and lassitude. <br /> • Heat Stroke - This is the most severe form of heat <br /> 1 stress which must be treated immediately by cooling <br /> A-17 <br /> MA:ENG:9262-AppA/091291 <br />